Petition for Writ of Certiorari — Graham L. Stowe, Petitioner v. Gregory Van Rybroek, Director, Mendota Mental Health Institute

Supreme Court briefNov 19, 2024

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Case: 23-3345

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In the

United States Court of Appeals

For the Seventh Circuit

____________________

No. 23-3345

GRAHAM L. STOWE,

Petitioner-Appellant,

v.

GREGORY VAN RYBROEK, Director, Mendota Mental Health Institute,

Respondent-Appellee.

____________________

Appeal from the United States District Court

for the Western District of Wisconsin.

No. 18-cv-400-wmc — William M. Conley, Judge.

____________________

ARGUED AUGUST 6, 2024 — DECIDED AUGUST 21, 2024

____________________

Before EASTERBROOK, ST. EVE, and KOLAR, Circuit Judges.

EASTERBROOK, Circuit Judge. Charged in 2004 with violent

offenses against his former girlfriend and her family, Graham

Stowe pleaded no contest but contended that he had been insane when he committed the crimes. A state judge agreed

with Stowe but ordered him committed for 39.5 years (the appropriate sentence in the absence of an insanity finding) unless recovery entitled him to earlier release.

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He was released in 2007 but soon returned to custody after

violating the conditions of release. (He tried to locate his former girlfriend at her workplace; he also used alcohol and perhaps other drugs.) He escaped in 2013 and was not caught for

three months; while free he used marijuana and perhaps other

drugs. He was charged with escape and convicted; he did not

present an insanity defense.

In 2016, once his sentence for the escape had ended, Stowe

asked for release under the terms of Wis. Stat. §971.17(4)(d):

The court shall grant the petition [for release] unless it finds by

clear and convincing evidence that the person would pose a significant risk of bodily harm to himself or herself or to others or of

serious property damage if conditionally released. In making this

determination, the court may consider, without limitation because of enumeration, the nature and circumstances of the crime,

the person’s mental history and present mental condition, where

the person will live, how the person will support himself or herself, what arrangements are available to ensure that the person

has access to and will take necessary medication, and what arrangements are possible for treatment beyond medication.

A psychologist and a psychiatrist testified at a hearing that

Stowe met the diagnostic criteria for “Other Specific Personality Disorder with Narcissistic and Antisocial Features”. Another psychologist, who applied a different label to Stowe’s

mental state, concluded that he presents an enhanced risk of

violence against other persons, especially when using drugs.

The state’s circuit court denied his petition for release, relying

on the elevated risk of violence, and the court of appeals affirmed. State v. Stowe, 2018 WI App 8. (This decision also supplies some details about Stowe’s crimes, which are not relevant for current purposes.)

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Stowe then sought collateral review in federal court under

28 U.S.C. §2254. He argued that Wis. Stat. §971.17(4)(d) violates the Due Process Clause of the Fourteenth Amendment,

as understood in Foucha v. Louisiana, 504 U.S. 71 (1992), because it allows the state to keep in custody someone who is a

danger to self or others without finding that this person also

has a mental disease or defect. Stowe observes that the circuit

court found that he remains dangerous but did not decide

whether the psychologists were right in concluding that he

still has a mental disorder. The district judge understood this

as a contention that §971.17(4)(d) had been applied to him unconstitutionally but concluded that Stowe had not preserved

an as-applied argument in the state courts. 2023 U.S. Dist.

LEXIS 199971 (W.D. Wis. Nov. 6, 2023), at *17.

The only contention preserved through all levels of the

state judiciary, the district judge found, is that §971.17(4)(d) is

invalid on its face—that is, invalid with respect to all persons

within its scope, no matter what the evidence shows and no

matter what findings the state judge makes. The federal judge

thought that contention untenable, because §971.17(4)(d) permits the court to consider “the person’s mental history and

present mental condition”. This means that state judges frequently will consider, and act on, evidence about a detainee’s

mental condition and not just the detainee’s dangerousness.

The district judge issued a certificate of appealability limited to the question whether §971.17(4)(d) is invalid on its

face. Stowe did not ask us to expand the certificate to include

an as-applied challenge. Our review is confined accordingly.

Wisconsin’s judiciary held that §971.17(4)(d) is constitutional, so under 28 U.S.C. §2254(d)(1) Stowe needs to show

that this decision “was contrary to, or involved an

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unreasonable application of, clearly established Federal law,

as determined by the Supreme Court of the United States”.

Stowe locates the “clearly established” law in Foucha. That argument encounters an insuperable hurdle: Justice O’Connor,

who supplied the controlling vote in a five-to-four decision,

filed a separate opinion limiting the scope of the holding. 504

U.S. at 86–90. She stressed features of Louisiana’s system that

§971.17 does not share. A decision that turns on elements specific to one state’s system does not “clearly establish” the invalidity of another state’s system. Three years after Foucha, the

Supreme Court of Wisconsin unanimously held a statute

functionally the same as §971.17 to be valid, relying on some

of these distinctions. State v. Randall, 192 Wis. 2d 800 (1995).

Like the district court, we do not see a stark incompatibility

between Randall and Justice O’Connor’s views.

Section 2254(d)(1) is not Stowe’s only obstacle. To get anywhere with a facial challenge (even in litigation under the

First Amendment, which this is not) a litigant must show that

“a substantial number of [the law’s] applications are unconstitutional, judged in relation to the statute’s plainly legitimate sweep.” Americans for Prosperity Foundation v. Bonta, 594

U.S. 595, 615 (2021). See also Moody v. NetChoice, LLC, 144 S.

Ct. 2383 (2024). Randall read Justice O’Connor’s opinion to

permit the detention of dangerous insanity acquittees who

have regained their mental health, if the state offers treatment

to improve their chances of release. Justice O’Connor wrote:

“I do not understand the Court to hold that Louisiana may

never confine dangerous insanity acquittees after they regain

mental health.” 504 U.S. at 87. She added that a “medical justification” for detention is important and that detention could

be justified if “tailored to reflect pressing public safety concerns related to the acquittee’s continuing dangerousness.” Id.

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at 87–88. Randall held that the benefits of mental-health treatment, coupled with a detainee’s dangerousness and the other

criteria listed in the state‘s statute, could supply any necessary

justification. It added that Wisconsin does not authorize “indefinite” detention, as Louisiana did, but limits detention to

the time justified by the appropriate sentence for the criminal

conduct (here 39.5 years). 192 Wis. 2d at 808. Randall also

thought it significant that in Wisconsin the burden to justify

detention rests on the state, while in Louisiana the burden of

showing entitlement to release was on the detainee. Ibid.

Even if we suppose that Randall’s reading of Justice

O’Connor’s views is problematic (though any error is not

“clearly established”), the fact remains that §971.17(4)(d) permits courts to consider evidence of a detainee’s “present mental condition”. For many people that evidence will entail

proof of ongoing mental disease. Because state courts implementing §971.17(4)(d) often will make all findings required to

support detention on anyone’s understanding of the Due Process Clause, a federal court cannot be confident that “a substantial number of [the law’s] applications are unconstitutional, judged in relation to the statute’s plainly legitimate

sweep.” And it assuredly cannot be confident that “no set of

circumstances exists under which the [law] would be valid”

(United States v. Salerno, 481 U.S. 739, 745 (1987)), the standard

for facial challenges that do not rest on the First Amendment.

Stowe’s observation that the state’s circuit court did not

make findings, one way or the other, about whether he continues to suffer from a mental disease, is an as-applied challenge,

which has not been preserved for resolution in federal court.

The circuit court found that Stowe remains at an elevated risk

of committing violent crimes—and the only evidence offered

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to support that finding was the psychologists’ conclusion that

Stowe has an ongoing mental disorder. If Stowe had pressed

his as-applied contest in the circuit court (which he did not),

the judge may well have made express the conclusion that is

implicit in the finding that Stowe poses an ongoing risk of violence: that the cause of this risk is a mental problem. The Due

Process Clause does not entitle Stowe to immediate release.

AFFIRMED

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Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 1 of 34

IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF WISCONSIN

GRAHAM STOWE,

Petitioner,

REPORT AND RECOMMENDATION

v.

18-cv-400-wmc

GREGORY VAN RYBROEK,

Director, Mendota Mental Health Institute,

Respondent.

REPORT

Petitioner Graham Stowe is confined at the Mendota Mental Health Institute in

Madison, Wisconsin. After being charged with violent crimes in 2004, Graham was found

not guilty by reason of mental disease or mental defect (“NGI”) and was committed to the

custody of the Wisconsin Department of Health Services for a term of 39½ years.

In February 2016, Stowe petitioned the state circuit court for conditional release.

Among other things, Stowe argued that the state was violating his right to due process by

continuing to detain him even though he was no longer mentally ill. The Wisconsin Court

of Appeals disagreed and affirmed the denial of conditional release. The court found

Stowe’s due process claim foreclosed by the Wisconsin Supreme Court’s decision in State

v. Randall, 192 Wis. 2d 800, 532 N.W.2d 94 (1995), which held that Wisconsin’s

statutory scheme for confinement of NGI acquittees was facially constitutional even

though it permitted continued confinement based solely on a determination of

dangerousness. Stowe filed a petition for review asking the Wisconsin Supreme Court to

reconsider Randall, but the court declined to grant review.

Appendix C-26

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Stowe now seeks a writ of habeas corpus pursuant to 28 U.S.C. § 2254, reasserting

his claim that he is in custody in violation of the Due Process Clause of the United States

Constitution.

Stowe contends that his continued confinement despite the State’s

concession that he no longer has a mental disease or defect that would have supported an

NGI plea in the first place is inconsistent with the Supreme Court’s decision in Foucha v.

Louisiana, 504 U.S. 71 (1992). Stowe’s petition, in effect, asks this court to overturn the

Wisconsin Supreme Court’s 27-year-old decision in Randall and declare unconstitutional

Wisconsin’s statutory scheme for confining insanity acquittees. This statutory scheme

limits the insanity acquittee’s term of confinement to the maximum he could have received

for the underlying criminal conduct, places the burden on the State to prove by clear and

convincing evidence that the commitment should continue, and confines the acquittee in

a structured environment that seeks to treat the acquittee’s mental illness or behavioral

disability that makes him dangerous.

Stowe’s petition has been referred to me by the presiding judge, William Conley,

for report and recommendation. As explained in more detail below, I recommend that the

court deny Stowe’s petition. Stowe has not identified any clearly established Supreme

Court law that prevents a State from confining a sane-but-dangerous insanity acquittee

under a statutory scheme like Wisconsin’s. Accordingly, he has failed to show that he

qualifies for federal habeas relief under 28 U.S.C. § 2254.

Appendix C-27

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BACKGROUND

I. Wisconsin’s Statutory Scheme for Insanity Acquittees

Wisconsin recognizes that “a person is not responsible for criminal conduct if at the

time of such conduct as a result of mental disease or defect the person lacked substantial

capacity either to appreciate the wrongfulness of his or her conduct or conform his or her

conduct to the requirements of law.” Wis. Stat. § 971.15(1). In recognition of this fact,

a defendant charged with a crime may plead not guilty by reason of mental disease or

defect, commonly referred to as an “NGI” plea. Wis. Stat. § 971.06(1); State v. Fugere, 2019

WI 33, ¶ 1, 386 Wis. 2d 76, 86, 924 N.W.2d 469, 473. Unless joined with a plea of not

guilty, such a plea “admits that but for lack of mental capacity the defendant committed

all the essential elements of the offense charged in the indictment, information or

complaint.” Id. “The terms ‘mental disease or defect’ do not include an abnormality

manifested only by repeated criminal or otherwise antisocial conduct.”

Wis. Stat. §

971.15(3).

If the defendant's NGI defense succeeds, then the court enters a judgment of not

guilty by reason of mental disease or defect and “shall thereupon proceed under s. 971.17.”

Wis. Stat. § 971.165(3)(b). Under Wis. Stat. § 971.17(1)(b),

When a defendant is found not guilty by reason of mental

disease or mental defect of a felony committed on or after July

30, 2002, the court shall commit the person to the department

of health services [“DHS”] for a specified period not exceeding

the maximum term of confinement in prison that could be

imposed on an offender convicted of the same felony[.]”

Under Wis. Stat. § 971.17(3)(a), the court shall order institutional care if it finds “by clear

and convincing evidence that conditional release of the person would pose a significant risk

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of bodily harm to himself or herself or to others or of serious property damage. If the court

does not make this finding, then it must order conditional release. Id. If the court order

specifies institutional care, then “the department of health services shall place the person

in an institution . . . that the department considers appropriate in light of the rehabilitative

services required by the person and the protection of public safety.”

Wis. Stat.

§ 971.17(3)(c).

Under the statute, a person committed for institutional care may petition the

committing court to modify its order by authorizing conditional release “if at least 6

months have elapsed since the initial commitment order was entered, the most recent

release petition was denied or the most recent order for conditional release was revoked.”

Wis. Stat. § 971.17(4). Within 20 days after receipt of the petition, the court shall appoint

one or more examiners, at state expense, to assess the person’s appropriateness for

conditional release and to furnish a report to the court. Within 30 days after the report is

filed, the court must hear the petition, and must grant it “unless it finds by clear and

convincing evidence that the person would pose a significant risk of bodily harm to himself

or herself or to others or of serious property damage if conditionally released.” Id.

In making this determination, the court may consider, without

limitation because of enumeration, the nature and

circumstances of the crime, the person's mental history and

present mental condition, where the person will live, how the

person will support himself or herself, what arrangements are

available to ensure that the person has access to and will take

necessary medication, and what arrangements are possible for

treatment beyond medication.

Id.

Appendix C-29

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II. Jones v. United States

In Jones v. United States, 463 U.S. 354 (1983), the Court considered whether a

person committed to a mental hospital after an insanity verdict must be released because

he has been hospitalized for a period longer than he might have served in prison had he

been convicted. Although Stowe makes no such claim here, an examination of Jones is

helpful before turning to Foucha.

Jones was charged in the District of Columbia Superior Court with attempted petit

larceny, a misdemeanor punishable by a maximum prison sentence of one year. Id. at 359.

The Superior Court found petitioner not guilty by reason of insanity and committed him

to a mental hospital under the District of Columbia’s statutory scheme. Id. at 360. Under

this scheme, an insanity acquittee was entitled within 50 days of his commitment to a

judicial hearing to determine his eligibility for release, at which he had the burden of

proving by a preponderance of the evidence that he was no longer mentally ill or dangerous.

Id. at 357. The district’s code also provided that the acquittee was entitled to a judicial

hearing every six months at which he may establish by a preponderance of the evidence

that he is entitled to release. Id.

At Jones’s 50-day hearing, the court found that he was mentally ill and constituted

a danger to himself or others. Id. at 360. A second release hearing was held after Jones

had been hospitalized for more than one year, the maximum period he could have spent

in prison had he been convicted. Id. Jones demanded that he be released unconditionally

or recommitted pursuant to the civil-commitment procedures under the District of

Columbia Code, including a jury trial and clear and convincing proof by the Government

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of his mental illness and dangerousness. Id. The Superior Court denied his request for a

civil-commitment hearing, reaffirmed the findings made at the 50-day hearing, and

continued his commitment. Id. at 360-61. The District of Columbia Court of Appeals

ultimately affirmed. Id. at 361.

The Supreme Court granted certiorari to decide “whether petitioner, who was

committed to a mental hospital upon being acquitted of a criminal offense by reason of

insanity, must be released because he has been hospitalized for a period longer than he

might have served in prison had he been convicted.” Id. at 356. The Court, while noting

the well-established principle that “commitment for any purpose constitutes a significant

deprivation of liberty that requires due process protection,” id. at 361 (quoting Addington

v. Texas, 441 U.S. 418, 425 (1979)), concluded that a “finding of not guilty by reason of

insanity is a sufficient foundation for commitment of an insanity acquittee for the purposes

of treatment and the protection of society.” 463 U.S. at 366. The Court then rejected

Jones’s constitutional argument that the state court could not hold him beyond the date

he would have been released if convicted by a jury, explaining that “[d]ifferent

considerations underlie commitment of an insanity acquittee” than punishment of persons

convicted of crimes. Id. at 369. The Court held that an acquittee's continued confinement

was constitutional “on the basis of the insanity judgment, to confine him to a mental

institution until such time as he has regained his sanity or is no longer a danger to himself

or society.” Id. at 370.

Appendix C-31

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III. Foucha v. Louisiana

Jones did not challenge the constitutionality of the District’s procedures for release,

nor did he seek release based on non-illness or non-dangerousness. Id. at 363 n. 11. That

type of challenge arose in Foucha v. Louisiana, 504 U.S. 71 (1992). Petitioner Terry Foucha

was charged by Louisiana authorities with aggravated burglary and illegal discharge of a

firearm. Id. at 73. Based on the testimony of two medical doctors, the trial court ruled

that Foucha was not guilty by reason of insanity, finding that he “is unable to appreciate

the usual, natural and probable consequences of his acts; that he is unable to distinguish

right from wrong; that he is a menace to himself and others; and that he was insane at the

time of the commission of the above crimes and that he is presently insane.” Id. at 74.

The trial court committed Foucha to the East Feliciana Forensic Facility until such time as

doctors recommended that he be released, and until further order of the court. Id.

About four years later, the superintendent of Feliciana recommended that Foucha

be discharged or released.

Id. A three-member panel convened at the institution to

evaluate Foucha reported that there had been no evidence of mental illness since admission

and recommended that Foucha be conditionally discharged, but it did not expressly make

a finding on the question of dangerousness. Id., n.2. The trial judge appointed a twomember sanity commission made up of the same two doctors who had conducted the

pretrial examination. In their report, these doctors stated that Foucha “is presently in

remission from mental illness [but] [w]e cannot certify that he would not constitute a

menace to himself or others if released.” Id., at 74-75. Elaborating at a hearing, one of the

doctors testified that Foucha: (1) probably suffered from a drug induced psychosis at the

Appendix C-32

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time of his initial commitment, but had recovered from that temporary condition; (2)

evidenced no signs of psychosis or neurosis and was in “good shape” mentally; (3) had an

antisocial personality, a condition that is not a mental disease and that is untreatable; and

(4) had been involved in several altercations at Feliciana. Ultimately, the doctor said that

he would not “feel comfortable in certifying that [Foucha] would not be a danger to himself

or to other people.” Id. at 75. After it was stipulated that the other doctor, if he were

present, would give essentially the same testimony, the court ruled that Foucha was

dangerous to himself and others and ordered him returned to the mental institution. Id.

at 75. Louisiana’s appellate courts affirmed the trial court, and the United States Supreme

Court granted certiorari.

The Court considered whether Louisiana’s statutory scheme of recommitment of

insanity acquittees violated due process and equal protection because it allowed “a person

acquitted by reason of insanity to be committed to a mental institution until he is able to

demonstrate that he is not dangerous to himself and others, even though he does not suffer

from any mental illness.” Id. at 73. The Court described Louisiana’s scheme:

When a defendant in a criminal case pending in Louisiana is

found not guilty by reason of insanity, he is committed to a

psychiatric hospital unless he proves that he is not dangerous.

This is so whether or not he is then insane. After commitment,

if the acquittee or the superintendent begins release

proceedings, a review panel at the hospital makes a written

report on the patient's mental condition and whether he can

be released without danger to himself or others. If release is

recommended, the court must hold a hearing to determine

dangerousness; the acquittee has the burden of proving that he

is not dangerous. If found to be dangerous, the acquittee may

be returned to the mental institution whether or not he is then

mentally ill.

Appendix C-33

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Id.

Joined by four justices, Justice White concluded that Louisiana’s scheme violated

due process. 1 First, the Court noted that in Jones, it had held that “the Constitution permits

the Government, on the basis of the insanity judgment, to confine [an insanity acquittee]

to a mental institution until such time as he has regained his sanity or is no longer a danger

to himself or society . . . i.e., the acquittee may be held as long as he is both mentally ill

and dangerous, but no longer.” 504 U.S. at 77, citing Jones, 463 U.S. at 368. The Court

rejected the lower court’s view that this language from Jones was limited to the specific

statutory scheme at issue in that case and therefore had no constitutional significance. Id.

To the contrary, wrote the Court, because it was undisputed that Foucha was not mentally

ill at the time of the lower court’s hearing, under Jones “the basis for holding Foucha in a

psychiatric facility as an insanity acquittee has disappeared, and the State is no longer

entitled to hold him on that basis.” Id. at 78.

The Court also rejected Louisiana’s alternative contention that it could “perpetuate

Foucha's confinement at [a psychiatric hospital] on the basis of his antisocial personality

which, as evidenced by his conduct at the facility, the court found rendered him a danger

to himself or others.” Id. at 78. First, even if Foucha’s continued confinement were

constitutionally permissible, keeping him against his will in a mental institution was

inappropriate absent a determination in civil commitment proceedings that he was

mentally ill, with “constitutionally adequate procedures to establish the grounds for his

Justice White also concluded that Louisiana’s scheme violated the Equal Protection Clause, but

only three justices joined that part of his opinion.

1

Appendix C-34

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confinement.” Id. at 78-79. Because Louisiana conceded that Foucha was not suffering

from a mental disease or illness, and because due process “requires that the nature of

commitment bear some reasonable relation to the purpose for which the individual is

committed,” if Foucha was to be held, then he should not be held as a mentally ill person.

Id. at 79.

Second, the Court found that Louisiana had no punitive interest in Foucha’s

continued confinement: by reason of his insanity acquittal, Foucha was exempt from

criminal responsibility for his acts and could not be punished. Id. at 80.

Next, the Court distinguished Louisiana’s scheme of confinement from the

confinement of pretrial detainees allowed by the Bail Reform Act of 1984, which the Court

had upheld in United States v. Salerno, 481 U.S. 739 (1987). The Court explained that in

contrast with the “sharply focused scheme” at issue in Salerno, Louisiana did not provide

Foucha with an adversary hearing at which the State must prove by clear and convincing

evidence that he was demonstrably dangerous to the community. To the contrary, the

burden was on Foucha to prove that he was not dangerous. Id. at 81-82.

The Court also noted that if Foucha had committed criminal acts, such as assault,

while housed in the mental institution, then the State could vindicate its interest by using

ordinary criminal process.

Id.

Finally, the Court noted that the detention found

permissible in Salerno was “strictly limited in duration,” whereas Louisiana was asserting

that because “Foucha once committed a criminal act and now has an antisocial personality

that sometimes leads to aggressive conduct, a disorder for which there is no effective

treatment, he may be held indefinitely.” Id. at 82.

Appendix C-35

Accordingly, found the Court,

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Louisiana’s detention scheme for sane-but-dangerous insanity acquittees did not fall within

the “carefully limited exceptions” allowed by the Due Process Clause. Id. at 83.

Justice O’Connor cast the fifth and deciding vote. Although she agreed with the

majority that Louisiana’s scheme violated the Due Process Clause, she wrote separately to

emphasize the limitations of the Court’s holding:

Louisiana asserts that it may indefinitely confine Terry Foucha

in a mental facility because, although not mentally ill, he might

be dangerous to himself or to others if released. For the reasons

given in Part II of the Court's opinion, this contention should

be rejected. I write separately, however, to emphasize that the

Court's opinion addresses only the specific statutory scheme

before us, which broadly permits indefinite confinement of

sane insanity acquittees in psychiatric facilities. This case does

not require us to pass judgment on more narrowly drawn laws

that provide for detention of insanity acquittees, or on statutes

that provide for punishment of persons who commit crimes

while mentally ill.

I do not understand the Court to hold that Louisiana may

never confine dangerous insanity acquittees after they regain

mental health.

Id. at 86–87 (O’Connor, J., concurring).

Justice O’Connor pointed out that the insanity defense becomes relevant only after

the prosecution establishes beyond a reasonable doubt that the defendant committed

criminal acts with the required level of intent. Id. at 87. This finding of criminal conduct,

she explained, set insanity acquittees apart from ordinary citizens and provides “concrete

evidence” of dangerousness. Id. in 87. In contrast, she noted, the state of knowledge about

mental disease was uncertain.

This uncertainty, she wrote, required courts to “’pay

particular deference to reasonable legislative judgments’ about the relationship between

dangerous behavior and mental illness.” Id. at 87 (quoting Jones, supra, 463 U.S., at 365,

Appendix C-36

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n. 13.) In her view, then, it might be permissible for Louisiana to confine an insanity

acquittee who has regained sanity “if the nature and duration of detention were tailored to

reflect pressing public safety concerns related to the acquittee's continuing dangerousness.”

Id. at 87-88. To confine an acquittee as a mental patient, however, the State would require

“some medical justification for doing so.” Id. at 88.

Finally, responding to Justice Thomas’s assertion in his dissenting opinion that 11

states–including Wisconsin--had laws comparable to Louisiana's, see id., at 112 & n.9,

Justice O’Connor found that number to be overstated. She noted that California and

Vermont had amended their laws to provide for the release of acquittees who do not suffer

from mental illness but may be dangerous, and that Wisconsin, New Jersey and

Washington “limit the maximum duration of criminal commitment to reflect the

acquittee's specific crimes and hold acquittees in facilities appropriate to their mental

condition.” Id. at 89 (citing Wis. Stat. §§ 971.17(1), (3)(c) (Supp.1991)). Such laws, wrote

Justice O’Connor, were not necessarily invalid under the Court's opinion. Id.

IV. The Wisconsin Supreme Court’s Decision in Randall

Three years later, in State v. Randall, 192 Wis. 2d 800, 532 N.W.2d 94 (1995), the

Wisconsin Supreme Court was asked to decide whether Wisconsin’s statutory

commitment scheme for insanity acquittees, “which allows the state to confine an insanity

acquittee who is no longer mentally ill, solely on the grounds that the individual is a danger

to himself, herself or others,” violated the Due Process Clause of the United States

Constitution. Id. at 806, 532 N.W. 2d at 96. The court’s answer was a qualified “no.”

After explicating the Supreme Court’s precedents on post-acquittal confinement, including

Appendix C-37

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Jones and Foucha, the Wisconsin Supreme Court concluded that Foucha permitted the

continued confinement of insanity acquittees based on dangerousness alone, provided that

“the nature of the commitment bears some reasonable relation to the purposes for which

the individual is committed.” 192 Wis. 2d at 832, 532 N.W. 2d at 107. In reaching this

conclusion, the Wisconsin Supreme Court read Justice O’Connor’s concurrence as having

“left the door open” to this possibility in her statement quoted above. Id. at n.22 (citing

Foucha, 504 U.S. at 87-88).

Observing that behavioral disorders that render a person dangerous may continue

even after the person recovers from mental illness, id. at 808, the court concluded that

Wisconsin’s scheme satisfied the “tailoring requirement” because Wisconsin’s two mental

health institutions designated for the treatment of insanity acquittees both were

therapeutically and behaviorally oriented to reduce their patients’ propensities for

dangerousness. Id. Further, insanity acquittees qualified as “patients” under Wisconsin’s

Patient’s Rights statute, which afforded them certain rights. Id. Ultimately, the court

concluded that

the legislature has determined that the treatment programs

made available to insanity acquittees in Wisconsin—regardless

of whether administered by the state or the county—are not

limited to the medical or pharmacological needs of the patient.

This state's statutory scheme provides a structured

environment which seeks to treat both the acquittee's mental

and behavioral disorders.

To the extent that insanity acquittees continue to receive

treatment during their confinement at Mendota or

Winnebago---whether that treatment is geared to reducing

clinical symptoms of mental illness or behavioral disabilities

which render the acquittee dangerous—we find there is

sufficient medical justification to continue the confinement

Appendix C-38

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and treatment. Accordingly, we hold that sec. 971.17(2),

Stats., (1987–88) does not violate due process because we

conclude there is a reasonable relationship between the nature

of the commitment and the purposes for which the individual

is committed.

Id., 192 Wis. 2d at 837–38, 532 N.W.2d at 108.

The Wisconsin Supreme Court noted that, in contrast with Foucha, where Louisiana

had conceded that Foucha was not mentally ill and suffered only from an untreatable

antisocial personality disorder, Wisconsin had made no similar concession with respect to

Randall. Id. at n. 19. The Wisconsin Supreme Court also noted two critical procedural

differences between Louisiana’s scheme and Wisconsin’s: first, under Louisiana’s scheme,

an insanity acquittee could be held in a mental institution “for an indefinite and unlimited

duration,” while Wisconsin’s statute limited the term of confinement to the maximum

term of imprisonment that could have been imposed for the offenses charged. Id. at 808,

532 N.W. 2d at 97. Second, Louisiana placed the burden on the insanity acquittee to

prove, by a preponderance of the evidence, that he or she no longer was dangerous, whereas

Wisconsin’s statute put the burden on the State to prove continued dangerousness by clear

and convincing evidence. Id. These features provided sufficient procedural safeguards to

insure a Wisconsin acquittee’s right to due process. Id.

Summing up, the Wisconsin Supreme Court concluded that a “single standard for

commitment, based on dangerousness alone, is permissible” under the Due Process Clause

if three criteria are met: (1) the maximum duration of the commitment is limited to reflect

the acquittee’s specific crimes; (2)the State bears the burden of proof at a recommitment

or release hearing; and (3) the State must confine the acquittee “in a facility appropriate

Appendix C-39

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to his or her mental condition.” Id., 192 Wis. at 841, 532 NW. 2d at 110. Because

Wisconsin’s statutory scheme satisfied all three criteria, it was constitutionally permissible.

Id. And in fact, noted the court, Justice O'Connor provisionally approved statutes such as

Wisconsin's in her concurrence. Id. at 839-40, 532 N.W.2d at 109 (citing Foucha, 504

U.S. at 89).

Concurring in the decision to remand the case to the circuit court, Justice Shirley

Abrahamson observed that the majority appeared to have grafted onto Wis. Stat. § 971.17

the requirement that a mental illness or behavioral disability that rendered the acquittee

dangerous must be present to justify continued confinement. Randall, 192 Wis. 2d at 842,

532 N.W. 2d at 110 (Abrahamson, J., concurring in the mandate). Although Justice

Abrahamson appeared to agree that interpreting the statute this way could satisfy the

requirement that the nature of the confinement bear a reasonable relationship to the

purpose for which the individual was confined, id., she declined to join the opinion because

in her view, Foucha held that the State could not confine an acquittee unless the mental

condition was one on which an insanity commitment could be based.

Id. She

acknowledged, however, that Foucha was “a troublesome decision” that was subject to

“conflicting interpretations by courts and commentators.” Id., at 843, 532 N.W. 2d at

111.

V. Stowe’s Confinement

Stowe’s confinement arises from events that occurred on February 9, 2004. The

Wisconsin Court of Appeals described these events in its December 2017decision affirming

the denial of Stowe’s petition for conditional release, and they are not in dispute. State v.

Appendix C-40

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 16 of 34

Stowe, 2018 WI App 8, ¶ 17, 379 Wis. 2d 767, 909 N.W.2d 210.

On February 9, 2004, Stowe entered his ex-girlfriend's residence and forced her and

their two-year-old daughter out of bed at gunpoint. Stowe subsequently tied up and

handcuffed his ex-girlfriend, her minor brother, and her father. He beat her father with a

baton and doused him with gasoline and stated repeatedly that he was going to take his

ex-girlfriend somewhere and force her to watch him commit suicide. He also threatened

to kill her father and sister. Stowe's ex-girlfriend was ultimately able to call 911, and later

escaped with her daughter after police arrived at the residence. While police remained

outside the residence, Stowe took some pills—after again indicating he wanted to kill

himself—and then passed out. His ex-girlfriend's father and brother then were able to

escape, and police took Stowe into custody.

The State charged Stowe with 11 counts in connection with these events, to which

Stowe entered pleas of not guilty by reason of mental disease or defect (NGI).

He

subsequently entered no contest pleas to first-degree recklessly endangering safety,

intimidation of a victim, felony bail jumping, and three counts of false imprisonment. The

circuit court found Stowe NGI with respect to those offenses, and the remaining charges

were dismissed. The court ordered Stowe committed to the Department of Health and

Family Services for institutional care for 39 years and six months.

At the time he committed the offenses, Stowe was experiencing “auditory

hallucinations that were giving him the message to kill himself,” and he had been diagnosed

with a mood disorder with psychotic features.

Stowe was conditionally released in April 2007 but was revoked in July 2009 and

Appendix C-41

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returned to DHS custody. Stowe petitioned for conditional release three times between

2010 and 2012, but each time was denied. In July 2013, Stowe escaped from a minimumsecurity unit at Mendota Mental Health Institute and evaded capture for more than three

months. He was subsequently convicted of escape and sentenced to prison. After serving

the initial confinement portion of his sentence, Stowe was returned to Mendota to serve

the extended supervision portion of his escape sentence concurrently with his commitment.

He was placed in a maximum-security unit.

VI. Stowe’s February 2016 Petition for Conditional Release

The subject of this habeas petition is a petition for conditional release that Stowe

filed in February 2016. The circuit court held a hearing at which it heard from two courtappointed psychologists who had evaluated Stowe (Dr. William Merrick and Dr. Kevin

Miller), a staff psychiatrist at Mendota (Dr. Elliot Lee), and Stowe’s wife. In addition,

Stowe's treatment team at Mendota submitted a letter to the court, and Stowe read a

statement in support of his conditional release.

Dr. Miller testified that Stowe's narcissism created a risk of him “doing something

impulsive,” citing Stowe's prior escape from Mendota as an example. While Dr. Merrick

reported that Stowe had not shown evidence of any mood disorder or psychotic symptoms

for many years and had not required psychiatric medications to manage symptoms of any

mental illness in over ten years, he and Dr. Lee both opined that Stowe met the diagnostic

criteria for “Other Specific Personality Disorder, with Narcissistic and Antisocial Features.”

Dr. Miller also indicated that antisocial personality characteristics “are associated with

higher risk of violence when compared with typical or average individuals.” Id. at ¶ 16.

Appendix C-42

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While Dr. Miller testified antisocial behaviors tend to decrease when a person reaches age

forty, Dr. Merrick, testified that narcissism, Stowe's “prominent . . . maladaptive

personality trait, does not show the same age-related decline.” Id. at ¶ 17.

After the hearing, the circuit court found the State had met its burden to prove, by

clear and convincing evidence, that Stowe would pose a significant risk of bodily harm to

himself or others if he were conditionally released.

VII.

Wisconsin Court of Appeals’ Decision

Stowe appealed, raising three claims: (1) the evidence was insufficient to support

the circuit court’s finding of continued dangerousness; (2) Wis. Stat. § 971.17(4)(d) was

unconstitutional as applied to him because he was no longer mentally ill and he was not

receiving therapeutic benefit from his confinement at Mendota; and (3) Wis. Stat.

§ 971.17(4)(d) was unconstitutional on its face because it permitted the continued

confinement of an NGI acquittee based on dangerousness alone. Id. at ¶¶ 2-6.

The Wisconsin Court of Appeals rejected Stowe’s arguments and affirmed the

circuit court. It determined that Stowe had forfeited his as-applied constitutional challenge

based on lack of therapeutic benefit by failing to raise it in the circuit court. Id. at ¶ 34.

The court rejected Stowe’s suggestion that it review the claim in its discretion or under the

plain error doctrine, noting that the merits of his as-applied claim depended on facts that

had not been developed below, and that Stowe would have the opportunity to raise his

argument when he next petitioned the circuit court for conditional release. Id. at ¶¶ 35-

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36. 2 As for Stowe’s facial challenge to the conditional release statute, the Wisconsin Court

of Appeals found it foreclosed by the Wisconsin Supreme Court’s decision in Randall,

which the court of appeals had no power to overrule or modify. Id. at ¶ 39. Finally, it

concluded that the evidence presented at Stowe’s conditional release hearing was “more

than sufficient” to support the circuit court's determination that the State proved, by clear

and convincing evidence, that Stowe would pose a significant risk of bodily harm to himself

or others if conditionally released. Id. at ¶ 27.

Stowe petitioned the Wisconsin Supreme Court for review and raised both his facial

and as-applied challenges to Wis. Stat. § 971.17(4)(d). He argued that the court should

overturn Randall as inconsistent with the United States Supreme Court’s decision in

Foucha. The Wisconsin Supreme Court summarily denied Stowe’s petition for review on

April 9, 2018. Stowe subsequently filed this timely petition for a writ of habeas corpus.

ANALYSIS

Stowe repeats his claim that Wisconsin’s statutory scheme concerning commitment

of insanity acquittees is unconstitutional on its face because it permits the continued

Stowe filed another petition for conditional release in December 2016, in which he properly

preserved a claim that Wis. Stat. § 971.17(4) was unconstitutional as applied to him because his

continued confinement at Mendota had no therapeutic value. Considering that argument on

appeal, the Wisconsin Court of Appeals rejected it based on its decision in State v. Randall, 222

Wis. 2d 53, 586 N.W. 2d 318 (Ct. App. 1998) (Randall II), which had interpreted Randall I as

establishing -- as a matter of law -- that there is a “therapeutic value to confining a [currently] sane

but dangerous acquittee to one of this state's mental health facilities.” State v. Stowe, 2019 WI App

39, ¶ 18, 388 Wis. 2d 256, 932 N.W.2d 179. I do not understand Stowe to be pursuing any claim

based on “lack of therapeutic value” in this proceeding. Even if he is, I would find that claim

procedurally defaulted for the reasons set out in the State’s brief, dkt. 9, at 11-12, which Stowe

does not contest.

2

Appendix C-44

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 20 of 34

confinement of an acquittee after he regains his sanity. A few preliminary matters require

discussion before I address the merits.

First, when Stowe argues that he has “regained his sanity” or is “no longer mentally

ill,” I understand him to be contending that he no longer suffers from either the mood

disorder that he had at the time he committed the underlying offenses or any other mental

condition that Wisconsin recognizes would support an NGI plea in the first place. The

State does not dispute this.

However, there is also no dispute that Stowe has been

diagnosed with a different mental disorder, namely “Other Specific Personality Disorder,

with Narcissistic and Antisocial Features.” I understand Stowe’s claim to be that Foucha

prohibits Wisconsin from keeping him confined at Mendota pursuant to his NGI

commitment even for the purpose of treating his personality disorder.

Second, although circuit court records show that Stowe has had a number of

conditional release hearings since the 2016 hearing at issue in this petition, he has lost

them all. Stowe remains housed at Mendota, and Randall remains the law in Wisconsin.

See 2004CF000124 Case Details in Brown County (wicourts.gov).

Accordingly, this

petition is not moot.

Third, I reject Stowe’s suggestion that this court review his claim de novo, disposing

of the matter “as law and justice require,” 28 U.S.C. § 2243, rather than under the

deferential provisions of AEDPA, which apply only to claims “adjudicated on the merits in

State court proceedings.”

§ 2254(d).

Stowe asserts, cursorily, that de novo review is

warranted because the Wisconsin Court of Appeals “declined to address the merits” of his

facial challenge. Br. in Supp., dkt. 7, at 8. I disagree. As noted above, the Wisconsin

Appendix C-45

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Court of Appeals explained that the Wisconsin Supreme Court already had found

Wisconsin’s statutory scheme constitutional in Randall, a decision by which the lower court

was bound.

Plainly, the Wisconsin Court of Appeals did not overlook a claim with

constitutional dimensions; rather, it noted that this claim already had been decided and

rejected by the state supreme court. This constitutes an “adjudication on the merits,” so

AEDPA deference applies. Harrington v. Richter, 562 U.S. 86, 99 (2011) (“When a federal

claim has been presented to a state court and the state court has denied relief, it may be

presumed that the state court adjudicated the claim on the merits in the absence of any

indication or state-law procedural principles to the contrary.”).

Under AEDPA’s provisions, this court cannot grant Stowe’s petition for habeas

relief unless the Wisconsin Court of Appeals’ adjudication of Stowe’s claim “resulted in a

decision that was contrary to, or involved an unreasonable application of, clearly

established federal law as determined by the Supreme Court of the United States.” 28

U.S.C. § 2254(d)(1). 3 The Wisconsin Court of Appeals rejected Stowe’s facial due process

challenge, relying entirely on Randall. Thus, I apply AEDPA’s provisions to the Wisconsin

Supreme Court’s decision in Randall, which the parties agree controls the outcome in this

case.

Stowe argues that Randall’s determination that Wisconsin’s statutory scheme for

confining insanity acquittees is contrary to Foucha. A state court decision is “contrary to”

clearly established Supreme Court precedent if the state court applies a rule different from

Stowe does not argue that the state appellate court’s decision was based on any unreasonable

determination of the facts, so I do not consider whether he would be eligible for relief under

§ 2254(d)(2).

3

Appendix C-46

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 22 of 34

the governing law as set forth in Supreme Court cases, or if it decides a materially

indistinguishable case differently than the Supreme Court. Williams v. Taylor, 529 U.S.

362, 406 (2000). Stowe argues that Foucha clearly established a rule that a State must

release an insanity acquittee once he regains sanity or is no longer dangerous. Stowe

further argues that his case is indistinguishable because, like Foucha, he has recovered from

his mental illness and he suffers only from an antisocial personality disorder, which the

Court ruled was not enough to permit Foucha’s continued confinement under his insanity

acquittal.

The State, on the other hand, asserts that Foucha’s holding must be viewed through

the lens of Justice O’Connor’s concurrence, which expressly rejected Stowe’s formulation

of the rule and which reasonably supports the Wisconsin Supreme Court’s determination

that Wisconsin’s statutory scheme comports with due process.

As an initial matter, I agree with Stowe that Foucha does not call for application of

the “Marks” rule, which holds that “[w]hen a fragmented Court decides a case and no single

rationale explaining the result enjoys the assent of five Justices, the holding of the Court

may be viewed as that position taken by those Members who concurred in the judgments

on the narrowest grounds.” Marks v. United States, 430 U.S. 188, 193 (1977) (internal

quotation marks and citation omitted). As Stowe points out, Justice O’Connor expressly

agreed with the reasons provided by the majority for declaring that Louisiana could not

keep Foucha confined in a mental institution based solely on dangerousness. Therefore,

Marks does not seem to apply here. See Vasquez v. Hillery, 474 U.S. 254, n.4 (1986)

(describing the Marks rule as “inapplicable” to an opinion “to which five Justices expressly

Appendix C-47

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 23 of 34

subscribed”).

Nevertheless, even if Stowe is correct that Justice O’Connor’s concurrence is not

“controlling,” that does not make it irrelevant to the analysis. To the contrary, given that

Justice O’Connor’s vote was essential to providing a majority opinion, her decision provides

important insight into the scope of that holding. McKoy v. North Carolina, 494 U.S. 433,

462, n.3 (1990) (where an individual Justice is needed for the majority, “the opinion is not

a majority opinion except to the extent that it accords with his views.”) (Scalia, J.,

dissenting). Here, it is fair to infer that if the majority opinion actually did hold that a

state “may never confine dangerous insanity acquittees after they regain mental health,”

then presumably Justice O’Connor would not have joined it. Her understanding of the

limitations of the majority’s holding cannot be ignored.

Contrary to Stowe’s interpretation, Justice O’Connor’s concurrence makes clear

that Foucha did not establish any hard-and-fast rule that a State must release a dangerous

insanity acquittee once he recovers his sanity. Rather, as she expressly stated, Foucha’s

holding was limited to “the specific statutory scheme before us” and did not apply to “more

narrowly drawn laws that provide for detention of insanity acquittees[.]” Foucha, 504 U.S.

at 86-87.

As noted above, Wisconsin’s scheme differs from Louisiana’s in two material

respects. First, unlike Wisconsin’s statute, Louisiana’s statute did not limit the maximum

term of confinement to the maximum term of imprisonment that could have been imposed

for the offenses charged, but instead allowed for “indefinite” confinement.

Thus,

Louisiana’s scheme, at least as described by the Foucha majority, was like that at issue in

Appendix C-48

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Jones, from which the Supreme Court pulled its broad language declaring that a State could

confine an insanity acquittee only until such time as he had regained his sanity or was no

longer dangerous. Second, Louisiana placed the burden on the insanity acquittee to prove,

by a preponderance of the evidence, that he or she was no longer dangerous. In Wisconsin,

the State must prove an NGI acquittee’s continued dangerousness by clear and convincing

evidence, and the acquittee may request reexamination and a release hearing at state

expense at periodic intervals. Given that Wisconsin’s scheme is “more narrowly drawn”

than Louisiana’s, it is not necessarily unconstitutional under Foucha.

Stowe does not deny that Wisconsin’s statute differs from Louisiana’s, but he offers

two reasons why the Wisconsin Supreme Court got Foucha wrong in Randall. First, Stowe

points out that the Randall court appears to have made a factual error when it said that

“[u]nlike Louisiana’s scheme,” Wisconsin required the State to prove guilt beyond a

reasonable doubt before the NGI defendant was entitled to a hearing on insanity. Br. in

Supp., dkt. 7, at 14 (citing Randall, 192 Wis. 2d at 107, 532 N.W. 2d at 833). As Stowe

points out, as described by both Justice O’Connor and the dissent, Louisiana did require

the State to prove “beyond a reasonable doubt that the defendant committed criminal acts

with the required level of intent” before the defendant may assert an insanity defense.

Foucha, 504 U.S. at 87 and 92.

But Stowe does not develop any argument as to why that mistake matters. Notably,

the Randall court did not appear to place any particular legal significance on this fact except

to note that the requirement of proof beyond a reasonable doubt provided the basis for the

State to incapacitate and treat the insanity acquittee, a proposition with which Justice

Appendix C-49

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O’Connor appeared to agree. Id. (noting that finding of criminal conduct by insanity

acquittees “sets them apart from ordinary citizens.”); see also Jones, 463 U.S. at 370

(“Insanity acquittees constitute a special class that should be treated differently from other

candidates for commitment.”).

Moreover, the fact that Wisconsin’s and Louisiana’s

statutes both require proof beyond a reasonable doubt for initial commitment does not

diminish the significance of the ways in which the statutes differ in their treatment of

insanity acquittees after commitment.

Stowe’s second and stronger argument is that the fairness of Wisconsin’s procedures

has nothing to do with Foucha’s substantive due process requirement that the “nature of the

commitment bear some reasonable relation to the purpose for which the individual is

committed.” In Stowe’s view, Foucha held that a sane insanity acquittee can never be held

in a mental institution, regardless of the fairness of the procedures used.

Once again, Justice O’Connor’s concurrence defeats Stowe’s argument.

Justice

O’Connor wrote that she did not “understand the Court to hold that Louisiana may never

confine dangerous insanity acquittees after they regain mental health.” Id. at 87. Rather,

she wrote, it might “be permissible for [a State] to confine an insanity acquittee who has

regained sanity if, unlike the situation in this case, the nature and duration of detention

were tailored to reflect pressing public safety concerns related to the acquittee's continuing

dangerousness.” Id. at 87-88. Justice O’Connor specifically identified Wisconsin’s statute

as one that seemed to meet this requirement. Id. at 89. Finally, Justice O’Connor suggested

that an insanity acquittee could be confined as a mental patient if there was “medical

justification for doing so.” Foucha, 504 U.S. at 88.

Appendix C-50

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In light of this language, it is impossible to conclude that the Wisconsin Supreme

Court erred, much less was unreasonable, in concluding that Justice O’Connor “left the

door open to the possibility of continuing the commitment of a sane but dangerous

acquittee to a facility, other than a prison or a hospital[.]” Randall, 192 Wis. 2d at 832

n.22, 532 N.W. 2d at 106 n.22. To the contrary, as another jurist has observed, “If one

of the five Justices in the Foucha majority understood the decision to mean that there was

no hard-and-fast rule that a State must release a dangerous insanity acquittee once he

regains mental health, then it is not an unreasonable application of clearly established

federal law for a state court to believe the same.” Grass v. Reitz, 643 F.3d 579, 588 (8th

Cir. 2011) (J., Colloton, concurring in judgment); see also State v. Tooley, 875 S.W.2d 110,

113 n. 4 (Mo.1994) (declining to decide “whether it would be constitutionally permissible

to confine a sane person based on dangerousness alone,” but noting that “Justice O'Connor

did indicate in Foucha that this may be constitutional.”). But see Revels v. Sanders, 519 F.3d

734, 742 (8th Cir. 2008) (“[T]he rule urged by the respondent, that a state may continue

to hold an insanity acquittee who seeks unconditional release even if he is not presently

mentally ill, must be rejected.”).

Ultimately, the Wisconsin Supreme Court was satisfied that Wisconsin’s scheme

was sufficiently tailored “to reflect pressing public safety concerns related to the acquittee’s

continuing dangerousness” because its two mental health institutions designated for the

care and confinement of insanity acquittees, Mendota and Winnebago, were structured to

provide treatment for both mental and behavioral disorders and offered comprehensive

treatment programs designed to reduce the patient’s propensity for dangerousness. Id. at

Appendix C-51

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843-37, 532 N.W. 2d at 107-08. Given the structural differences between Louisiana’s and

Wisconsin’s scheme and Justice O’Connor’s stated understanding of the limitations of the

majority opinion in Foucha, I cannot say that this conclusion was contrary to or an

unreasonable application of Foucha.

Stowe cites two decisions from the Seventh Circuit describing Foucha as holding that

“a person committed because of an insanity verdict is entitled to release when he recovers

his sanity or is no longer dangerous.” Br. in Supp., dkt. 7, at 11, quoting Gilbert v.

McCulloch, 776 F.3d 487, 494 (7th Cir. 2015); see also Adams v. Bartow, 330 F.3d 957, 961

(7th Cir. 2003) (“[T]he general rule we take from Foucha is simply that an insanity acquittee

may be held for only as long as he is still mentally ill; his dangerous propensities alone do

not justify continued confinement.”). However, in both Gilbert and Adams, the court was

considering challenges to Wis. Stat. Chapter 980, which provides a process for the

indefinite civil commitment of sexually violent persons, not to the limited-term

confinement pursuant to an NGI determination that Stowe challenges in this case.

Accordingly, the court’s general description of Foucha’s majority holding in these two cases

cannot be understood as establishing that Stowe has a clearly established right to be

released in this case. Brown v. Davenport, ___ U.S. ___, 142 S. Ct. 1510, 1525 (2022)

(“Clearly established federal law as determined by the Supreme Court of the United States”

means just that: it does not include lower federal court decisions, the Supreme Court’s

dicta, or holdings that “speak only at a high level of generality.”) (citations omitted). In

fact, the Adams court noted that Foucha’s holding rested on “a specific combination of

factors,” including that the “the state had not shown that Foucha was dangerous and in

Appendix C-52

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fact had no obligation to do so because its statute placed the burden on the individual to

show that he was not dangerous.” Id., 330 F.3d at 960. Again, the “specific combination”

of factors present in Foucha are absent in Stowe’s case, as they were in Randall.

To be sure, as Justice Thomas noted in his dissenting opinion, it is not clear where

Justice O’Connor thought sane-but-dangerous acquittees could be confined, if not in a

mental health facility. Foucha, 504 U.S. at 125 (“I have no idea what facilities the Court

or Justice O'CONNOR believe the Due Process Clause mandates for the confinement of

sane-but-dangerous insanity acquittees.”). As the Randall court noted, one commentator

inferred that Justice O’Connor had in mind “dangerous person” facilities. Randall, 192

Wis. 2d at 832 n. 22, 532 N.W.2d at 106 n.22 (citing Rebecca Frank Dallet, FOUCHA v.

LOUISIANA: THE DANGER OF COMMITMENT BASED ON DANGEROUSNESS, 44

Case W. Res. L. Rev. 157, 181 (Fall, 1993)). But these ambiguities only shore up the

conclusion that federal habeas relief is unavailable to Stowe. “A federal court may grant

habeas relief only if a state court violated ‘clearly established Federal law, as determined by

the Supreme Court of the United States.’” Dunn v. Reeves, ___ U.S. ___, 141 S. Ct. 2405,

2410–11 (2021) (citing § 2254(d)(1), (emphasis in original).

A right is not “clearly

established” until the United States Supreme Court has made it “concrete.” Bland v. Hardy,

672 F.3d 445, 448 (7th Cir. 2012) (citing Wright v. Van Patten, 552 U.S. 120, 125-26

(2008)). I agree with the State that Foucha did not establish that a dangerous-but-sane

insanity acquittee has a concrete right to be conditionally released from a mental health

Appendix C-53

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facility that offers treatment designed to overcome that which makes him dangerous. 4

On reply, Stowe argues that even if it was not unreasonable for the Wisconsin

Supreme Court to conclude that the State may confine a sane-but-dangerous insanity

acquittee so long as the State is medically justified in doing so, Wisconsin’s scheme is

nonetheless unconstitutional because it presumes medical justification regardless of

individual circumstances. Dkt. 11, at 7 (citing State v. Randall, 586 N.W. 2d 318 (Ct. App.

1998) (Randall II). However, Stowe has waived this argument. He did not raise it until

reply and he hasn’t supported it with any citations to a Supreme Court case that clearly

establishes a right to an individualized determination of medical justification. United States

v. White, 8 F.4th 547, 552 (7th Cir. 2021) (arguments raised for first time on reply and

unsupported by pertinent authority are waived). Moreover, Stowe did not present this

argument in the state court proceedings, so it is procedurally defaulted. Richardson v. Lemke,

745 F.3d 258, 268 (7th Cir. 2014) (federal claim is “procedurally defaulted when a

petitioner fails to ‘fairly present’ [the] claim to the state courts.”).

Finally, in a fallback argument, Stowe argues that his confinement is unlawful under

Kansas v. Hendricks, 521 U.S. 346 (1997), because Wisconsin did not prove at his

conditional release hearing that he suffers from a mental abnormality or disorder that

makes it difficult, if not impossible, for him to control his dangerous behavior. Br. in

Supp., dkt. 7, at 17. As the State points out, Hendricks does not necessarily help Stowe: in

that case, the Court expressly rejected the notion that “mental illness” was required for

As noted previously, Stowe’s claim that he is not getting any therapeutic value out of his

confinement, while concerning, is defaulted and not before the court in this proceeding.

4

Appendix C-54

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 30 of 34

civil commitment, upholding a civil commitment scheme that defined the class of persons

eligible for confinement to those suffering from a “mental abnormality” or a “personality

disorder.” 521 U.S. at 358-59. As noted previously, there is no dispute that Stowe has

been diagnosed with a personality disorder.

The gist of Stowe’s claim seems to be that the State did not prove that his

personality disorder makes it seriously difficult to control his dangerous behavior, as

required by Hendricks and its successor, Kansas v. Crane, 534 U.S. 407, 413 (2002). See

Reply, dkt. 11, at 9. But Stowe failed to develop any legal argument, either here or in the

state courts, as to why the Hendricks/Crane standard for civil commitments necessarily

applies to a determinate NGI confinement scheme like Wisconsin’s. His brief in this court

includes only a perfunctory citation to Richard S. v. Carpinello, 589 F.3d 75, 83 (2d Cir.

2009), which did hold that Hendricks/Crane established a substantive due process standard

that applied to insanity commitments.

However, Stowe offers no explication of the facts or legal analysis employed in that

case and makes no attempt to persuade this court to adopt its reasoning; he simply cites it

and moves on.

See dkt. 7, at 17.

This court will not make his arguments for him,

particularly when it is unclear whether the state courts have been fairly apprised of the

claim. Nelson v. Napolitano, 657 F.3d 586, 590 (7th Cir. 2011) (“Neither the district court

nor this court are obliged to research and construct legal arguments for parties, especially

when they are represented by counsel.”); United States v. Holm, 326 F.3d 872, 877 (7th Cir.

2003) (“We have repeatedly warned that perfunctory and undeveloped arguments, and

arguments that are unsupported by pertinent authority, are waived (even where those

Appendix C-55

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 31 of 34

arguments raise constitutional issues.”) (quotation omitted)). And in any case, circuit

precedent does not constitute “clearly established Federal law, as determined by the

Supreme Court,” so Richard S. does not help Stowe anyway. Glebe v. Frost, 574 U.S. 21,

24 (2014) (per curiam). Finally, Stowe’s citation to two snippets from his conditional

release hearing is insufficient to permit this court to conclude the State failed to meet the

Hendricks/Crane standard, even if Stowe could somehow convince the court that it must

apply.

In sum, Stowe has failed to meet his heavy burden of showing that the Wisconsin

courts’ adjudication of his claim was contrary to or an unreasonable application of clearly

established Supreme Court law. Accordingly, I recommend that the court deny the petition

for a writ of habeas corpus.

ORDER

Pursuant to 28 U.S.C. § 636(b)(1)(B), IT IS RECOMMENDED that Graham

Stowe’s petition for a writ of habeas corpus be DENIED.

Entered this 26th day of September, 2022.

BY THE COURT:

/s/

_______________________

STEPHEN L. CROCKER

Magistrate Judge

Appendix C-56

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 32 of 34

UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF WISCONSIN

120 N. Henry Street, Rm. 540

Madison, Wisconsin 53703

Chambers of

STEPHEN L. CROCKER

U.S. Magistrate Judge

Telephone

(608) 264-5153

Colleen Marion

Wisconsin State Public Defender

P.O Box 7862

Madison, WI 53707-7862

Lisa Kumfer

Wisconsin Department of Justice

P.O. Box 7857

Madison, WI 53707-7857

Re:

Stowe v. Van Rybroek

Case No. 18-cv-400-wmc

Dear Counsel:

The attached Report and Recommendation has been filed with the court by the

United States Magistrate Judge.

The court will delay consideration of the Report in order to give the parties an

opportunity to comment on the magistrate judge's recommendations.

In accordance with the provisions set forth in the memorandum of the Clerk of

Court for this district which is also enclosed, objections to any portion of the report

may be raised by either party on or before October 11, 2022, by filing a memorandum

with the court with a copy to opposing counsel.

If no memorandum is received by October 11, 2022, the court will proceed to

consider the magistrate judge's Report and Recommendation.

Sincerely,

/s/

Connie A. Korth

Secretary to Magistrate Judge Crocker

Enclosures

Appendix C-57

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 33 of 34

MEMORANDUM REGARDING REPORTS AND RECOMMENDATIONS

Pursuant to 28 U.S.C. § 636(b), the district judges of this court have designated

the full-time magistrate judge to submit to them proposed findings of fact and

recommendations for disposition by the district judges of motions seeking:

(1) injunctive relief;

(2) judgment on the pleadings;

(3) summary judgment;

(4) to dismiss or quash an indictment or information;

(5) to suppress evidence in a criminal case;

(6) to dismiss or to permit maintenance of a class action;

(7) to dismiss for failure to state a claim upon which relief can be granted;

(8) to dismiss actions involuntarily; and

(9) applications for post-trial relief made by individuals convicted of

criminal offenses.

Pursuant to § 636(b)(1)(B) and (C), the magistrate judge will conduct any

necessary hearings and will file and serve a report and recommendation setting forth his

proposed findings of fact and recommended disposition of each motion.

Any party may object to the magistrate judge’s findings of fact and recommended

disposition by filing and serving written objections not later than the date specified by

the court in the report and recommendation. Any written objection must identify

specifically all proposed findings of fact and all proposed conclusions of law to which the

33

Appendix C-58

Case: 3:18-cv-00400-wmc Document #: 14 Filed: 09/26/22 Page 34 of 34

party objects and must set forth with particularity the bases for these objections. An

objecting party shall serve and file a copy of the transcript of those portions of any

evidentiary hearing relevant to the proposed findings or conclusions to which that party

is objection. Upon a party’s showing of good cause, the district judge or magistrate judge

may extend the deadline for filing and serving objections.

After the time to object has passed, the clerk of court shall transmit to the district

judge the magistrate judge’s report and recommendation along with any objections to it.

The district judge shall review de novo those portions of the report and

recommendation to which a party objects. The district judge, in his or her discretion,

may review portions of the report and recommendation to which there is no objection.

The district judge may accept, reject or modify, in whole or in part, the magistrate judge’s

proposed findings and conclusions. The district judge, in his or her discretion, may

conduct a hearing, receive additional evidence, recall witnesses, recommit the matter to

the magistrate judge, or make a determination based on the record developed before the

magistrate judge.

NOTE WELL: A party’s failure to file timely, specific objections to the

magistrate’s proposed findings of fact and conclusions of law constitutes waiver of

that party’s right to appeal to the United States Court of Appeals. See United

States v. Hall, 462 F.3d 684, 688 (7th Cir. 2006).

34

Appendix C-59

State v. Stowe, 379 Wis.2d 767 (2017)

2018 WI App 8, 909 N.W.2d 210

379 Wis.2d 767, 2018 WI App 8

Unpublished Disposition

See Rules of Appellate Procedure, Rule 809.23(3),

regarding citation of unpublished opinions. Unpublished

opinions issued before July 1, 2009, are of no

precedential value and may not be cited except in

limited instances. Unpublished opinions issued on or

after July 1, 2009 may be cited for persuasive value.

NOTE: THIS OPINION WILL NOT

APPEAR IN A PRINTED VOLUME. THE

DISPOSITION WILL APPEAR IN A REPORTER.

Per curiam opinions may not be cited in any court of this

state as precedent or authority, except for the limited

purposes specified in WIS. STAT. RULE 809.23(3).

Court of Appeals of Wisconsin.

STATE of Wisconsin, Plaintiff-Respondent,

v.

Graham L. STOWE † , Defendant-Appellant.

Appeal No. 2016AP2367-CR

|

December 27, 2017

APPEAL from an order of the circuit court for Brown County,

Cir. Ct. No. 2004CF124: KENDALL M. KELLEY, Judge.

Affirmed.

Before Stark, P.J., Hruz and Seidl, JJ.

Opinion

PER CURIAM.

*1 ¶1 Graham Stowe appeals an order denying his petition

for conditional release under

WIS. STAT. § 971.17(4)

1

(2015-16). Stowe contends the State failed to prove by

clear and convincing evidence that, if conditionally released,

he would pose a significant risk of bodily harm to himself

or others or a significant risk of property damage. See

§ 971.17(4)(d). Stowe also argues

§ 971.17(4)(d) is

unconstitutional both as applied to him and on its face. We

reject Stowe's arguments and affirm.

BACKGROUND

¶2 A criminal complaint alleged that, in the early morning

hours of February 9, 2004, Stowe entered his ex-girlfriend's

residence and forced her and their two-year-old daughter

out of bed at gunpoint. Stowe subsequently tied up and

handcuffed his ex-girlfriend, her minor brother, and her father.

He beat her father with a baton and doused him with gasoline.

Stowe repeatedly stated he was going to take his ex-girlfriend

somewhere and force her to watch him commit suicide.

He also threatened to kill her father and sister. Stowe's

ex-girlfriend was ultimately able to call 911, and she later

escaped with her daughter after police arrived at the residence.

While police remained outside the residence, Stowe took

some pills—after again indicating he wanted to kill himself

—and then passed out. His ex-girlfriend's father and brother

were then able to escape.

¶3 Stowe was charged with eleven counts as a result of these

events. He entered pleas of not guilty by reason of mental

disease or defect (NGI) to each of the charges against him.

Stowe subsequently entered no contest pleas to first-degree

recklessly endangering safety, intimidation of a victim, felony

bail jumping, and three counts of false imprisonment. The

circuit court found Stowe NGI with respect to those offenses,

and the remaining charges were dismissed. The court ordered

Stowe committed to the Department of Health and Family

Services for institutional care for thirty-nine years and six

months.

¶4 In April 2007, the circuit court entered an order

conditionally releasing Stowe. However, in June 2009, the

Department of Health Services (DHS) petitioned to revoke

Stowe's conditional release. The petition alleged Stowe

had violated his rules of conditional release by entering a

bar where his ex-girlfriend worked, and an attached report

indicated he had repeatedly violated his rules on other

occasions, despite numerous warnings. The circuit court

revoked Stowe's conditional release in July 2009.

¶5 Stowe petitioned for conditional release three more times

between 2010 and 2012. The circuit court denied each of

Stowe's petitions, and we affirmed those decisions on appeal.

See State v. Stowe, No. 2012AP2644-CR, unpublished slip op.

(WI App July 30, 2013); State v. Stowe, No. 2011AP2920CR, unpublished slip op. (WI App Oct. 10, 2012); State v.

Stowe, No. 2010AP2458-CR, unpublished slip op. (WI App

June 7, 2011).

¶6 In July 2013, Stowe escaped from a minimum security

unit at Mendota Mental Health Institute. The record indicates

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Appendix D-60

1

State v. Stowe, 379 Wis.2d 767 (2017)

2018 WI App 8, 909 N.W.2d 210

Stowe “impulsively took off from [Mendota] when he thought

that security guards were going to place him in a more

secure unit.” He evaded capture for over three months.

He was subsequently convicted of escape and sentenced

to prison. After serving the initial confinement portion of

his sentence, Stowe was returned to Mendota to serve the

extended supervision portion of his sentence while serving his

commitment and was placed in a maximum security unit.

*2 ¶7 In February 2016, Stowe filed the petition for

conditional release that is at issue in this appeal. Two courtappointed psychologists—Dr. William Merrick and Dr. Kevin

Miller—evaluated Stowe, submitted reports to the circuit

court, and testified at Stowe's conditional release hearing.

Stowe's treatment team at Mendota submitted a letter to the

court, and Dr. Elliot Lee, a staff psychiatrist at Mendota,

testified at the hearing. Stowe's wife, Nicole Zich, also

testified at the hearing, and Stowe read a statement in support

of his conditional release.

¶8 At the close of the conditional release hearing, the circuit

court found the State had met its burden to prove, by clear and

convincing evidence, that Stowe would pose a significant risk

of bodily harm to himself or others if he were conditionally

released. The court began by describing Stowe's statement

in support of conditional release as “consistently disturbing.”

The court explained, “[I]t demonstrated what the Court

was already aware of, ... that [Stowe] is very bright,

intelligent, capable and articulate, but there is such a distorted

self-serving view and presumption of being a victim that

permeates all of it, that that is a concern.” The court stated

Stowe's perceptions regarding his own situation did not

“seem to square in any sense with what has occurred, and

that ability to distort reality for his own purposes is, in fact,

something that increases the Court's perception of risk.”

¶9 Turning to the expert witnesses’ testimony, the circuit

court noted Dr. Merrick had testified “that it was his

opinion [Stowe] was dangerous to himself or others to a

reasonable degree of certainty within his profession.” The

court also cited Dr. Lee's testimony regarding Stowe's refusal

to engage in treatment. The court further relied on Dr. Miller's

testimony that Stowe's current mindset “is consistently one

of hopelessness” and that, if Stowe were released, that

hopelessness could “become[ ] more manifest,” suggesting “a

much higher risk as a consequence.”

¶10 The circuit court next cited Stowe's “long history” of

antisocial behavior, as well as his “more recent conduct,”

including his escape from a lower-security unit at Mendota.

The court emphasized that Stowe “was not following the

law” and was in possession of marijuana during his period of

escape. The court described the escape as “clearly impulsive”

and stated it was “consistent with the very kind of conduct

that started out in this case in the first place.” While the

court stated Stowe's original offenses were “not the Court's

focus so much here today,” the court emphasized that Stowe's

more recent conduct was “not inconsistent with the original

offense.”

¶11 Consistent with its oral ruling, the circuit court entered a

written order denying Stowe's petition for conditional release.

Stowe now appeals.

DISCUSSION

I. Sufficiency of the evidence

¶12 A person who has been committed to DHS custody

after being adjudicated NGI of a crime may petition the

committing court for conditional release under

WIS.

STAT. § 971.17(4). The court must grant the petition “unless it

finds by clear and convincing evidence that the person would

pose a significant risk of bodily harm to himself or herself

or to others or of serious property damage if conditionally

released.”

Sec. 971.17(4)(d). In determining whether a

person meets this standard, a court may, but is not required to,

consider the following non-exhaustive list of factors: (1) the

nature and circumstances of the crime; (2) the person's mental

history and present mental condition; (3) where the person

will live; (4) how the person will support himself or herself;

(5) what arrangements are available to ensure that the person

has access to and will take necessary medication; and (6) what

arrangements are possible for treatment beyond medication.

Id.; see also State v. Randall, 2011 WI App 102, ¶16, 336 Wis.

2d 399, 802 N.W.2d 194 (Randall III ). Ultimately, the State

bears the burden to prove, by clear and convincing evidence,

that the petitioner meets the dangerousness standard set forth

in

§ 971.17(4)(d). Randall III, 336 Wis. 2d 399, ¶15.

*3 ¶13 We review the circuit court's conditional release

determination using the deferential “sufficiency of the

evidence” standard. Id., ¶13. In applying this standard, we

review the record to determine whether credible evidence

exists to support the circuit court's finding of continued

dangerousness. Id., ¶17. Stated differently, we ask whether the

circuit court could “reasonably be convinced by evidence it

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Appendix D-61

2

State v. Stowe, 379 Wis.2d 767 (2017)

2018 WI App 8, 909 N.W.2d 210

ha[d] a right to believe and accept as true.” Id., ¶13 (quoting

State v. Wilinski, 2008 WI App 170, ¶12, 314 Wis. 2d 643,

762 N.W.2d 399). “If so, we affirm, despite the fact that

there may be evidence and inferences to the contrary.” Id.,

¶17. Moreover, “we give deference to the [circuit] court's

determination of credibility and evaluation of the evidence

and draw on its reasoning.” Id., ¶14.

2

¶14 Here, credible evidence supports the circuit court's

determination that the State met its burden to prove Stowe

would pose a significant risk of bodily harm to himself

or others if conditionally released. A number of factors—

both statutory and otherwise—support the court's finding of

continued dangerousness.

¶15 First, the nature and circumstances of Stowe's index

offenses as described above support the circuit court's

determination. See WIS. STAT. § 971.17(4)(d). During the

hearing on Stowe's petition for conditional release, Dr. Miller

accurately described Stowe's actions that night as “horrific.”

The conduct underlying Stowe's index offenses indisputably

put both Stowe and others at significant risk of bodily harm.

¶16 Evidence regarding Stowe's mental history and

current mental condition further supports the circuit court's

determination regarding Stowe's risk of dangerousness

if conditionally released. See id. Stowe was previously

diagnosed with “Major Depressive Disorder with Psychotic

Features.” At the time he committed his index offenses,

he was experiencing “auditory hallucinations that were

giving him the message to kill himself.” Doctor Merrick

reported Stowe has “not shown evidence of any mood

disorder or psychotic symptoms (hallucinations, delusions,

formal thought disorder) for many years, and has not

required psychiatric medications to manage symptoms of

any mental illness in over ten years.” Nonetheless, both Dr.

Merrick and Dr. Lee opined that Stowe currently meets the

diagnostic criteria for “Other Specific Personality Disorder,

with Narcissistic and Antisocial Features.”

While Dr. Miller testified antisocial behaviors tend to

decrease when a person reaches age forty, Dr. Merrick

testified that narcissism, Stowe's “prominent ... maladaptive

personality trait, does not show the same age-related decline.”

*4 ¶18 Doctor Merrick also diagnosed Stowe with “Alcohol

and Cannabis Use Disorders, both In Sustained Remission,

In a Controlled Environment.” Doctor Miller observed that

Stowe “was using cocaine and methamphetamine in the

week prior to” his index offenses. Doctor Miller opined

that Stowe's drug use contributed to his index offenses

and that Stowe “is a risk of future harm” when “using

illicit substances such as cocaine and methamphetamines.”

He further noted that Stowe used cannabis while in the

community following his 2013 escape from Mendota, and

that Stowe has “demonstrated across time and situation

that he is not able to refrain from substance use.” Doctor

Miller asserted, “[S]hould [Stowe] resume illicit substance

use on conditional release[,] he may be more prone to future

violent acts.” Based on this evidence, the circuit court could

reasonably infer that, if conditionally released, there was a

significant risk Stowe would resume the type of drug use that

contributed to his index offenses, thus putting both Stowe and

others at risk of bodily harm.

¶19 The circuit court could also reasonably rely on Dr.

Merrick's and Dr. Miller's testimony that Stowe's current

mental state is one of hopelessness, which poses a risk of

danger to both Stowe and others. Doctor Miller testified

Stowe “appears to be fairly hopeless at this point” because he

“doesn't believe he's going to get a fair shake from Mendota

or the Court.” Doctor Miller further explained in his report:

¶17 The circuit court could reasonably infer that this

diagnosis supported a finding of continued dangerousness

under

WIS. STAT. § 971.17(4)(d). Doctor Miller testified

Stowe's narcissism creates a risk of him “doing something

impulsive,” citing Stowe's prior escape from Mendota as

an example. Doctor Miller also indicated that antisocial

personality characteristics “are associated with higher risk of

violence when compared with typical or average individuals.”

Mr. Stowe has formed the belief

that the Court will not treat him

objectively. Mr. Stowe is convinced

that he will spend all of his remaining

commitment, until the year 2043 at

age 60, in a state facility because he

doesn't believe the Court will ever

grant him conditional release again.

Mr. Stowe currently maintains a belief

that he would have more freedom,

and more opportunity to interact with

others in a meaningful manner[,] if

he returned to a prison facility like

Green Bay Correctional Institution. He

claims a member of the Department of

© 2024 Thomson Reuters. No claim to original U.S. Government Works.

Appendix D-62

3

State v. Stowe, 379 Wis.2d 767 (2017)

2018 WI App 8, 909 N.W.2d 210

Community Corrections let him know

that the “only” way he, Mr. Stowe,

would get revoked from probation and

returned to a DOC facility is if he

“caught a case.”

¶20 Doctor Miller went on to state that, if Stowe were granted

conditional release, it was “highly likely” he would either

violate or be accused of violating his rules of conditional

release and would therefore be subject to revocation. Doctor

Miller opined that, under those circumstances, Stowe's

hopelessness would create an “elevated risk of impulsive

or aggressive behavior,” including violence, because Stowe

would rather “catch a case” and go to prison than return to

Mendota. Doctor Miller also stated Stowe's hopelessness put

him at risk of suicide. He likened Stowe's current mental state

to his mindset at the time of his index offenses, when Stowe

“felt he had nothing left to lose by killing himself and making

others watch.” Doctor Merrick similarly opined that Stowe's

current mindset is characterized by hopelessness, which is

associated with a risk of suicide.

¶21 Evidence regarding Stowe's postcommitment conduct

also supports the circuit court's determination that Stowe

would pose a significant risk of bodily harm to himself or

others if conditionally released. As noted above, Stowe was

revoked from conditional release in 2009 after repeatedly

violating his rules of supervision, including by entering a bar

where his ex-girlfriend worked. Stowe later escaped from

Mendota after forming a belief that he was going to be

transferred to a higher security unit. While in the community

following his escape, Stowe engaged in illegal conduct by

using marijuana.

¶22 These actions demonstrate that, during the years since

his commitment, Stowe has consistently been either unwilling

or unable to adhere to rules imposed on him. Notably, Dr.

Merrick assessed Stowe's risk of future violence using the

HCR-20, a “structured clinical method of assessing risk of

a person to engage in act of actual, attempted, or threatened

harm to another person.” Doctor Merrick determined that,

under the HCR-20, Stowe's risk of future non-sexual violence

in the next six to twelve months was in the “medium”

range. Doctor Merrick observed the most significant risk

management factor under the HCR-20 was Stowe's failure to

comply with rules.

*5 ¶23 The record also indicates that, after Stowe was

returned to Mendota following his escape, he was placed in

a maximum security unit. Stowe's treatment team explained

Stowe is housed in that unit “because public safety would

be jeopardized in the event of an escape from a less secure

environment.” This assessment further supports the circuit

court's determination that conditionally releasing Stowe

would pose a significant risk of danger to either Stowe or the

public.

¶24 In addition, Stowe's treatment team explained that when

Stowe was returned to Mendota in 2015, he initiated a

hunger strike in order to protest his placement there. Stowe

continued his hunger strike, despite being informed that doing

so could have negative effects on his health. Even after Dr.

Lee explained to Stowe that staff needed to draw his blood to

check his condition because he was at risk of kidney failure,

Stowe refused to consent to a blood draw and actively resisted

subsequent efforts to forcibly draw his blood. This evidence

indicates Stowe is willing to engage in conduct he knows is

deleterious to his physical health, which supports an inference

that he would pose a danger to himself if conditionally

released.

¶25 Evidence regarding Stowe's treatment needs also

supports the circuit court's dangerousness determination. See

WIS. STAT. § 971.17(4)(d). Although the record shows

Stowe has little or no need for medication, Dr. Merrick

testified personality disorder with narcissistic and antisocial

features is “one of the more difficult psychological conditions

to treat,” and treatment typically involves “fairly intensive

individual psychotherapy” at least once a week “over the

course of years.” Doctor Merrick specifically opined that,

given the narcissistic features of Stowe's personality disorder,

it will “take some time for him to realize that he is not the

center of the universe, [and] that other people matter.” Based

on Dr. Merrick's testimony, the circuit court could reasonably

conclude Stowe's treatment needs are substantial.

¶26 Moreover, evidence was introduced at the conditional

release hearing indicating that Stowe has refused to engage

in treatment since returning to Mendota. Stowe's treatment

team, for instance, noted he has been “minimally involved

with treatment on the unit and frequently refuses to meet

with the clinical team.” 3 Based on this evidence, the circuit

court could reasonably infer that Stowe's personality disorder,

which predisposes him to violent and impulsive behavior, has

not yet been controlled through treatment. The court could

also reasonably question whether Stowe would avail himself

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Appendix D-63

4

State v. Stowe, 379 Wis.2d 767 (2017)

2018 WI App 8, 909 N.W.2d 210

of treatment opportunities if conditionally released, given his

failure to participate in treatment while institutionalized.

¶27 The evidence summarized above is more than sufficient

to support the circuit court's determination that the State

proved, by clear and convincing evidence, that Stowe would

pose a significant risk of bodily harm to himself or others

if conditionally released. None of Stowe's arguments to the

contrary are persuasive. For instance, Stowe asserts that

“neither doctor appointed to evaluate [him] opined that he

posed a significant risk of harm to himself or others ... if

conditionally released.” Stowe contends Dr. Merrick merely

opined that Stowe “may” pose a significant risk if released,

while Dr. Miller declined to offer an opinion one way or the

other.

*6 ¶28 This argument fails for two reasons. First, while Dr.

Merrick's report stated Stowe “may” pose a significant risk of

harm to himself or others if released, the following exchange

occurred during Stowe's conditional release hearing:

[THE STATE]: ... With the defendant's attitude at this point

in time, past behavior, the testings that you've cited, do

you see him posing at this point in time, without further

treatment, ... a significant risk of harm to himself or others

if he were conditionally released?

[DOCTOR MERRICK]: From the maximum security unit,

yes.

(Emphasis added.) Thus, despite using the word “may” in his

report, Dr. Merrick testified unequivocally at the conditional

release hearing that Stowe would pose a significant risk of

harm to himself or others if conditionally released.

¶29 Second, Stowe cites no authority in support of the

proposition that a court may not conclude a person meets

the dangerousness standard set forth in

WIS. STAT. §

971.17(4)(d) without an explicit expert opinion to that effect.

Nothing in the text of the statute suggests that is the case.

We have previously recognized that expert testimony is not

required to support a finding of future dangerousness in

commitment proceedings under WIS. STAT. ch. 980. See

State v. Mark, 2008 WI App 44, ¶51, 308 Wis. 2d 191,

747 N.W.2d 727. Moreover, it is well established that a circuit

court, when acting as factfinder, may accept certain portions

of an expert's testimony while disregarding others. See

State v. Owen, 202 Wis. 2d 620, 634, 551 N.W.2d 50 (Ct.

App. 1996). Accordingly, the circuit court in this case could

accept various portions of the experts’ testimony supporting

a determination that Stowe meets the dangerousness standard

in

§ 971.17(4)(d), without relying on the experts’ ultimate

opinions on that issue.

¶30 Stowe next notes that his wife, Nicole Zich, testified

Stowe could live with her if conditionally released and had

been offered a job in construction. Stowe argues these factors

weigh in favor of conditional release. See

WIS. STAT.

§ 971.17(4)(d). However, when reviewing a circuit court's

decision on a petition for conditional release, we must affirm

as long as credible evidence supports the court's decision,

even if other evidence supports a contrary conclusion.

Randall III, 336 Wis. 2d 399, ¶17. Here, as summarized

above, there is ample credible evidence to support the circuit

court's decision to deny Stowe's petition.

¶31 Finally, Stowe asserts that conditional release is

“highly structured.” He apparently intends to argue that the

“structured” nature of conditional release will minimize or

eliminate any risk he may pose to himself or others. However,

this argument ignores Stowe's past violations of his rules

of conditional release. It also disregards his escape from a

minimum security unit at Mendota. In addition, it ignores Dr.

Merrick's opinion that Stowe's history of failing to follow

rules is a significant factor supporting a determination that

he would pose a risk of bodily harm to himself or others if

conditionally released. On this record, the circuit court did

not err by denying Stowe's petition, despite the “structured”

nature of conditional release.

II. As-applied challenge to

WIS. STAT. § 971.17(4)(d)

*7 ¶32 Stowe next argues

WIS. STAT. § 971.17(4)(d)

is unconstitutional as applied to him. Stowe's argument is

based on State v. Randall, 192 Wis. 2d 800, 532 N.W.2d

94 (1995) (Randall I ). There, our supreme court considered

whether a statutory scheme that “allows the state to confine

an insanity acquittee who is no longer mentally ill, solely

on the grounds that the individual is a danger to himself,

herself or others, violate[s] the Due Process Clause of the

United States Constitution.” Id. at 806 (footnote omitted).

The court concluded it is not a denial of due process “for

an insanity acquittee who has committed a criminal act to be

confined in a state mental health facility for so long as he or

she is considered dangerous, provided that the commitment

does not exceed the maximum term of imprisonment which

could have been imposed.” Id. at 806-07. The court stated

© 2024 Thomson Reuters. No claim to original U.S. Government Works.

Appendix D-64

5

State v. Stowe, 379 Wis.2d 767 (2017)

2018 WI App 8, 909 N.W.2d 210

this conclusion was “not inconsistent with” the United State's

Foucha v. Louisiana, 504

Supreme Court's decision in

U.S. 71 (1992), which the court read as permitting the

continued confinement of dangerous but sane NGI acquittees

in mental health facilities “so long as they are treated in a

manner consistent with the purposes of their commitment,

e.g., there must be a medical justification to continue holding

a sane but dangerous insanity acquittee in a mental health

facility.” Randall I, 192 Wis. 2d at 807.

¶33 Stowe argues that, in this case, the State is “not housing

[him] in a facility appropriate to his condition and is not

providing him with care and treatment to overcome that

which makes him allegedly dangerous.” In other words, he

asserts he is not receiving any “therapeutic benefit” from

his continued confinement at Mendota. He therefore argues

WIS. STAT. § 971.17(4)(d) is unconstitutional as applied

to him because it permits his continued confinement based

solely on a finding of dangerousness, even though he is no

longer mentally ill and there is no “medical justification” for

his continued confinement.

¶34 As the State points out, Stowe did not raise this argument

in the circuit court. “It is a fundamental principle of appellate

review that issues must be preserved at the circuit court.

Issues that are not preserved at the circuit court, even alleged

constitutional errors, generally will not be considered on

appeal.”

State v. Huebner, 2000 WI 59, ¶10, 235 Wis. 2d

486, 611 N.W.2d 727.

¶35 Although we may exercise our discretion to address the

merits of a forfeited argument, see

State v. Caban, 210

Wis. 2d 597, 609, 563 N.W.2d 501 (1997), we decline to

do so here for two reasons. First, one of the purposes of

the forfeiture rule is to give “both parties and the circuit

court notice of the issue and a fair opportunity to address”

it.

State v. Ndina, 2009 WI 21, ¶30, 315 Wis. 2d 653,

761 N.W.2d 612. Although the ultimate issue of whether

WIS. STAT. § 971.17(4)(d) is unconstitutional as applied

to Stowe is a question of law for our independent review,

see State v. Smith, 2010 WI 16, ¶8, 323 Wis. 2d 377, 780

N.W.2d 90, important factual issues bear upon that question

—for instance, the nature and extent of the treatment Stowe

is currently receiving, whether that treatment is providing

any therapeutic benefit, and the impact of Stowe's refusal

to engage in treatment. Had Stowe raised his as-applied

challenge to § 971.17(4)(d) in the circuit court, the parties

could have presented additional evidence pertaining to these

factual issues. The absence of such evidence hinders our

ability to address Stowe's as-applied challenge.

¶36 Second, as the State notes, conditional release

proceedings in NGI cases are “recurring events.” An NGI

acquittee may file a petition for conditional release “if at least

6 months have elapsed since the initial commitment order

was entered, the most recent release petition was denied or

the most recent order for conditional release was revoked.”

WIS. STAT. § 971.17(4)(a). Thus, applying the forfeiture

rule in Stowe's current appeal will not permanently foreclose

him from raising his as-applied constitutional challenge.

Instead, he will have an opportunity to raise that argument

when he next petitions for conditional release. This factor

militates against addressing the merits of Stowe's argument

in the instant appeal.

*8 ¶37 We also decline Stowe's invitation to review his asapplied challenge to

WIS. STAT. § 971.17(4)(d) under the

plain error doctrine. “The plain error doctrine allows appellate

courts to review errors that were otherwise waived by a party's

failure to object.”

State v. Jorgensen, 2008 WI 60, ¶21,

310 Wis. 2d 138, 754 N.W.2d 77. However, the error must be

“obvious and substantial,” and courts “should use the plain

error doctrine sparingly.” Id. (quoted source omitted). Here,

beyond baldly asserting that an “obvious and substantial”

violation of his constitutional right to liberty has occurred,

Stowe does not develop any argument indicating why we

should use the plain error doctrine to reach the merits of his

as-applied constitutional challenge. He does not, for instance,

cite cases in which Wisconsin courts have used the plain error

doctrine to review similar constitutional claims. We need not

address undeveloped arguments. See State v. Pettit, 171 Wis.

2d 627, 646-47, 492 N.W.2d 633 (Ct. App. 1992).

¶38 Stowe also asserts that, because

WIS. STAT. §

971.17(4)(d) is unconstitutional as applied to him, “justice has

miscarried,” and we should therefore grant him discretionary

reversal in the interest of justice under WIS. STAT. § 752.35.

Again, however, Stowe's two-sentence argument in this

regard is undeveloped, in that it merely states the statutory

standard without explaining in any detail why discretionary

reversal is warranted in the instant case. We therefore decline

to address Stowe's discretionary reversal argument. See

Pettit, 171 Wis. 2d at 646-47.

© 2024 Thomson Reuters. No claim to original U.S. Government Works.

Appendix D-65

6

State v. Stowe, 379 Wis.2d 767 (2017)

2018 WI App 8, 909 N.W.2d 210

III. Facial constitutional challenge to

971.17(4)(d)

WIS. STAT. §

¶39 Finally, Stowe argues

WIS. STAT. § 971.17(4)(d) is

unconstitutional on its face because it permits the continued

confinement of an NGI acquittee based on dangerousness

alone. However, as Stowe acknowledges, the Wisconsin

Supreme Court found a similar, predecessor statute facially

valid in Randall I, rejecting the defendant's argument that the

statute violated his right to due process because it permitted

his continued confinement based solely on a determination

that he was a danger to himself or others. See Randall I, 192

Wis. 2d at 806-07. We have no power to overrule, modify, or

withdraw language from a previous supreme court decision.

Cook v. Cook, 208 Wis. 2d 166, 189, 560 N.W.2d

See

246 (1997). Based on Randall I, we therefore reject Stowe's

argument that

§ 971.17(4)(d) is facially unconstitutional.

By the Court.—Order affirmed.

All Citations

379 Wis.2d 767, 2018 WI App 8, 909 N.W.2d 210 (Table),

2017 WL 6606755

Footnotes

†

Petition for Review Filed

1

All references to the Wisconsin Statutes are to the 2015-16 version unless otherwise noted.

2

Citing

K.N.K. v. Buhler, 139 Wis. 2d 190, 407 N.W.2d 281 (Ct. App. 1987), Stowe argues we should apply

a bifurcated standard of review, upholding the circuit court's factual findings unless they are clearly erroneous,

but independently reviewing “whether the facts meet the legal standard for a mental commitment.” However,

K.N.K. was an appeal from a circuit court's order for protective placement under WIS. STAT. ch. 55. See

K.N.K., 139 Wis. 2d at 197. In State v. Randall, 2011 WI App 102, ¶¶11-17, 336 Wis. 2d 399, 802 N.W.2d

194 (Randall III ), we expressly held that the deferential “sufficiency of the evidence” standard applies when

a defendant challenges the sufficiency of the evidence supporting a circuit court's decision to deny a petition

for conditional release from an NGI commitment.

3

Although both Dr. Merrick and Dr. Miller questioned whether Stowe's treatment plan at Mendota is

appropriate for a person with his diagnosis, the record amply demonstrates that Stowe has been unwilling to

engage in treatment, regardless of professional disputes about the appropriateness of a specific treatment

program.

End of Document

© 2024 Thomson Reuters. No claim to original U.S. Government Works.

© 2024 Thomson Reuters. No claim to original U.S. Government Works.

Appendix D-66

7

Case: 3:18-cv-00400-wmc Document #: 6-1 Filed: 11/29/18 Page 1 of 1

.,._

StATE OF WISCONSIN

CIRCUIT COURT

BROWN COUN'IY

BRANCH IV

STATE OF WISCONSIN,

AUTHENTicATEO coPY

Fr, .F=f)

PJeintift

vs.

GRAHAML: STOWE,

Defendant

ORDER

D ~ G PEIIIION FOR

JUN 3 OZofONDmONAL~

CLERK"OF couRfSCase No. 2004 CF 124

BROWN COUNTY, WJ

. WBBREAS, de&mdam, Graham L. S1owe, having filed a Petition for Conditional Release

pursuant to sec. 971.17(4), ~ on February 8, 2016; and

WBBREAS, the he.aring on the Petition for Conditional Release was held on May 26, 2016

and June 20, 2016; and

WHEREAS, the court, Hcmomble XcmdalJ M. Kelley, presided over this matter and the

state bav.ing apJ)fAIIed on May 26, 2016 by Deputy District Attomey Mary Kerrigan-~ and on

June 20, 2016 by Special Prosecutor Lmry I.asee and the defendarn: having appeared_ in pezson on

both hearing dates and with his attorney, David J. Matyas; and

.

.

.

WBBREAS, tbe court having considered tbe reconi iDcludmg the testimony, evidence,

ex:lnmts, arguments of comisel, and the statement of the defendant;

NOW, THEREFORE, IT IS HEREBY ORDERED that the petition for conditional releue

is denied because the state has proven by clear and convincing evidence that defendant, Graham

.

./,

L. Stowe, would pose a signi:fiamt risk of bodily hmm to himself or to o1beIS or serious property

damage if conditionally released.

Datm~dayJJ(JJlL

, 2016, NUNCPRO TUNC.Tune20, 2016.

By the Court

ISi KENDALL M. KELLEY

. -112Appendix E-67

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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